Improving HIV Case finding in Kebbi State, through Index Case Testing (ICT).
In response to dwindling funding and barriers like long distances to health facilities, HSCL ACE3 devised a strategic intervention in Kamba and Koko communities which has improved HIV case finding in the area using Index Case Testing (ICT) and HIV self-test kits This innovative, community-driven strategy helps to sustain and expand ICT service delivery, even amidst limited resources and logistical hurdles.
This intervention in Kamba and Koko communities is a strategic response to existing gaps in access to HIV services in these areas; where barriers such as distance to facilities, and limited awareness hinder conventional HIV testing approaches.
The approach targets sexual and biological contacts of known HIV-positive individuals, increasing the chances of identifying new cases. HIV self-test kits offer a private, stigma-free option for individuals to know their status at home. Community case workers distribute kits, provide support, and ensure prompt referral for confirmatory testing and treatment, improving uptake and reducing delays.
This model is cost-effective, scalable, and aligns with national HIV testing guidelines. It is effective, especially in hard-to-reach populations while strengthening local capacity and HIV literacy.
Evidence from Koko indicates increased testing coverage and timely linkage to treatment. This intervention addresses gender and age-related disparities in access to HIV services. It ultimately ensures that no one is left behind in the fight against HIV.
Similarly in Kamba, Index Case Testing and the use of HIV self-test kits led to the early identification of two family members with reactive results. This prompted the husband to bring his two wives to the facility for confirmatory testing, where both women were diagnosed HIV positive. Thanks to immediate initiation of antiretroviral therapy (ART) for these clients, their health outcomes are now being actively managed.
In his testimonial, a beneficiary, Musa Abdulahi (not his real name) expressed his gratitude to HSCL for the intervention.
“The self-test kits gave us the courage to know our status privately at home. When the results showed something concerning, I felt supported to bring my wives for proper care. Now, we are grateful for the treatment that keeps us strong.” He said.
HIV self-testing breaks down stigma, enhances privacy, and extends the reach of services to underserved communities. Integrated with ICT, it enables early detection and timely treatment, reducing transmission and improving health outcomes. Implemented under the ACE 3 Project by HSCL, Project HOPE, and CBO teams, this intervention demonstrates how empowering communities, and decentralizing services can transform HIV prevention and care.